Individual
CHRISTINE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
65 EAST 100 NORTH, GUNNISON, UT 84634-0759
(435) 528-2130
(435) 528-2197
Mailing address
1055 N 500 W, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2870211205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870212456036
—
UT
05
—
DO972
—
UT
Enumeration date
12/11/2006
Last updated
01/17/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us